Claim total
$93.39
base $93.39 · payer covered $5.45
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bacterial sinusitis75498004
- Start
- 2021-04-26
- Stop
- 2021-04-26
The parties
- Patient
- patient Aubrey Mattie Turcotte
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
01ad68d8-96ec-fcdf-0dba-d1d86ba4e637